INHALATION

Question 1

What are you going to do FIRST with inhalation medications?

Answer 1

Assess the lungs

Question 2

PRESSURIZED METERED-DOSE INHALERS (pMDIs)
-How is the medication pushed out?

Answer 2

There is a chemical propellant that pushes the medication out of the inhaler

Question 3

PRESSURIZED METERED-DOSE INHALERS (pMDIs)
-What does this require for use?

Answer 3

Sufficient hand strength (5-10lbs of pressure)

Question 3

PRESSURIZED METERED-DOSE INHALERS (pMDIs)
-What can this be used with?

Answer 3

A spacer

Question 4

BREATH-ACTUATED METERED-DOSE INAHLERS (BAIs)
-How does the BAI release medication?

Answer 4

When a patient inhales

Question 5

BREATH-ACTUATED METERED-DOSE INAHLERS (BAIs)
-What does release depend on?

Answer 5

The strength of a patient’s breath

Question 6

BREATH-ACTUATED METERED-DOSE INAHLERS (BAIs)
-Who is this appropriate for?

Answer 6

-Those who have difficulty using pMDI since there is no hand-breath coordination needed

Question 7

DRY POWDER INHALERS (DPIs)
-What are they activated by?
-This means that there is no need for what?

Answer 7

-a patient’s breath
-coordination of puff with inhalation

Question 8

DRY POWDER INHALERS (DPIs)
-What does this require?

Answer 8

Less manual dexterity

Question 9

DRY POWDER INHALERS (DPIs)
-What should you NEVER do?

Answer 9

Shake the dry power inhaler or the medicine

Question 10

DRY POWDER INHALERS (DPIs)
-How should they be held while loading?

Answer 10

Some should be held upright and others held sideways

Question 11

DRY POWDER INHALERS (DPIs)
-Explain how to use it

Answer 11

1. Load the medicine into inhaler
2. Tilt the head back slightly
3. Breath out
4. Close your mouth TIGHTLY around the mouthpiece of inhaler
5. Inhale QUICKLY
6. Hold breath for 10 seconds

Question 12

DRY POWDER INHALERS (DPIs)
-DO NOT keep these in _____ places
-What should you do after use?

Answer 12

-humid
-Clean outside after use

Question 13

METERED DOSE INHALER (MDI)
-What does ability to self medicate depend on?

Answer 13

Level of consciousness, age, strength & coordination of hands

Question 14

METERED DOSE INHALER (MDI)
-Who are spacers used for?

Answer 14

Children under 5-6 yrs and people who lack coordination

Question 15

METERED DOSE INHALER (MDI)
-With aerosolized steroids, what do you want to teach the patient to do?

Answer 15

RINSE MOUTH WITH WATER after each treatment to minimize oral candidiasis (fungal infection)

Question 16

METERED DOSE INHALER (MDI)
-Explain how to use it

Answer 16

1. Assess lungs before
2. Shake 5-6 times
3. Deep breath & exhale
4. Position the inhaler (close lips around inhaler OR 1-2 in. in front of WIDELY opened mouth
5. Push inhaler and inhale for 3-5 seconds
6. Hold for 10 seconds
7. Remove MDI, slowly exhale through pursed lips
8. Assess lungs after

Question 17

METERED DOSE INHALER (MDI)
-How long should you wait between different inhalers?

Answer 17

2-5 minutes

Question 18

CARE OF INHALER
-What should you clean?

Answer 18

The hole where the medication sprays out from

Question 19

CARE OF INHALER
-What are the only things you should rinse?

Answer 19

The mouth piece and cap (NOT THE CANISTER)

Question 20

CARE OF INHALER
-What should you know?

Answer 20

When to replace the inhaler

Question 21

CARE OF INHALER
-How do you know when to replace the inhaler?

Answer 21

By checking the # of puffs listed on the canister & calculating